Individual provider Active NPI

Loebat Kamalpour, MD

  • Dermatology Physician
  • Austin, TX
National Provider Identifier
1407059025
Registry record updated Oct 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
R0597 Issued in TX
Practice address
3801 N Capital of Texas Hwy Ste J225
Austin, TX 78746-1499
Phone
(512) 808-4777
Fax
(512) 808-4779
NPI assigned
Jun 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X R0597 TX Primary

Addresses

Primary practice location

3801 N Capital of Texas Hwy Ste J225
Austin, TX 78746-1499

Mailing address

3801 N Capital of Texas Hwy Ste J225
Austin, TX 78746-1499
Phone (512) 808-4777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
J. Robert West, M.D., Inc Dermatology Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: lkamalpour@directaddress.net

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635638400000",
    "number": "1407059025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 N CAPITAL OF TEXAS HWY STE J225",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787461499",
            "telephone_number": "512-808-4777",
            "fax_number": "512-808-4779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 N CAPITAL OF TEXAS HWY STE J225",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787461499",
            "telephone_number": "512-808-4777",
            "fax_number": "512-808-4779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMALPOUR",
        "first_name": "LOEBAT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-10",
        "last_updated": "2021-10-31",
        "certification_date": "2021-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "R0597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.